Amorim Gelbert Luiz Chamon do Carmo, Cruz Geraldo Magela Gomes da, Veloso Denny Fabrício Magalhães, Kartabil José David, Vieira José Carlos, Alves Paulo Roberto
Santa Casa de Belo Horizonte, Belo Horizonte, MG, BR.
Einstein (Sao Paulo). 2010 Jun;8(2):200-4. doi: 10.1590/S1679-45082010AO1592.
To compare the results of radical prostatectomy by perineal and suprapubic approaches as to operative time, procedure costs, and surgical site complications.
The medical records of localized prostate cancer patients (PSA ≤ 10 ng/ml and Gleason score ≤ 6) were analyzed. Fifty-five patients were submitted to radical prostatectomy by perineal approach and 54 via suprapubic approach.
There were statistical differences between groups as to operative time (p < 0.05); for perineal approach it was in average 114 minutes (SD ± 0.03) and for suprapubic approach, an average of 167 minutes (SD ± 0.041). Prostatectomy via perineal approach resulted in 11 cases of surgical complications, and suprapubic approach, 3 cases.
Radical prostatectomy via perineal approach took less time at a lower cost as compared to the suprapubic approach. However, there were more complications in patients submitted to perineal approach, mainly rectal lesions.
